• Best Pract Res Clin Anaesthesiol · Dec 2019

    Review

    PECS, serratus plane, erector spinae, and paravertebral blocks: A comprehensive review.

    • Erik M Helander, Michael P Webb, Julia Kendrick, Tim Montet, Aaron J Kaye, Elyse M Cornett, and Alan David Kaye.
    • Department of Anesthesiology, University of Florida, Gainesville, FL, USA. Electronic address: erikmhelander@yahoo.com.
    • Best Pract Res Clin Anaesthesiol. 2019 Dec 1; 33 (4): 573-581.

    AbstractThoracic planar blocks represent a novel and rapidly expanding facet of regional anesthesia. These recently described techniques represent the potential for excellent analgesia, enhanced technical safety profiles, and reduced physiological side effects versus traditional techniques in thoracic anesthesia. Regional techniques, particularly those described in this review, have potential implications for mitigation of surgical pathophysiological neurohumoral changes. In the present investigation, we describe the history, common indications, technique, and limitations of pectoral nerves (PECS), serratus plane, erector spinae plane, and thoracic paravertebral plane blocks. In summary, these techniques provide excellent analgesia and merit consideration in thoracic surgery.Published by Elsevier Ltd.

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